Active NPI
Kimberly Laura Cunningham, O.D.
- Optometrist
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1971
- Practice address
- 955 W Southern Ave Ste 122
Mesa, AZ 85210-4903 - Phone
- (480) 835-4440
- Fax
- (480) 835-8882
- NPI assigned
- Aug 4, 2009
- Last updated
- Aug 26, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1971 | AZ | Primary |
| Optometrist | 152W00000X | 2741 | CO |
Addresses
Primary practice location
955 W Southern Ave Ste 122
Mesa, AZ 85210-4903
Mailing address
PO Box 201764
Dallas, TX 75320-1764
Phone (636) 200-4393
Other practice location 1
2450 E Guadalupe Rd Ste 107
Gilbert, AZ 85234-5116
Phone (480) 507-0600
Other practice location 2
8404 E Shea Blvd Ste 105
Scottsdale, AZ 85260-6658
Phone (480) 483-0711
Other practice location 3
19052 N R H Johnson Blvd
Sun City West, AZ 85375-4401
Phone (623) 232-0560
Other practice location 4
10701 W Bell Rd
Sun City, AZ 85351-1074
Phone (623) 888-8191
Other practice location 5
500 W Savage St
Wickenburg, AZ 85390-4235
Phone (928) 415-2188
Other practice location 6
2222 E Camelback Rd Ste 250
Phoenix, AZ 85016-3427
Phone (602) 840-3501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4212 N 16TH St
Phoenix, AZ 85016-5319
Phone (602) 263-1200
955 W Southern Ave
Suite 122
Mesa, AZ 85210-4903
Phone (480) 835-4440
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2741 | CO | MD | Optometrist |
| 4829 | MA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm. | Current | Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Emilio Martin Justo MD PC | Current | Accepting new patients |
Locations
2121 W Reservation Loop Rd
Camp Verde, AZ 86322
Phone (929) 567-2168
2450 E Guadalupe Rd
Ste 107
Gilbert, AZ 85234
Phone (480) 507-0600
955 W Southern Ave
Ste 122
Mesa, AZ 85210
Phone (480) 655-0741
2222 E Camelback Rd
Ste 250
Phoenix, AZ 85016
Phone (602) 265-2745
4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187
10005 E Osborn Rd
Scottsdale, AZ 85256
Phone (480) 362-7400
8404 E Shea Blvd
Ste 105
Scottsdale, AZ 85260
Phone (480) 483-0711
10701 W Bell Rd
Sun City, AZ 85351
Phone (623) 876-2020
19052 N R H Johnson Blvd
Sun City West, AZ 85375
Phone (623) 232-0560
500 W Savage St
Wickenburg, AZ 85390
Phone (623) 474-3937
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Phoenix Indian Medical Center
- Public Health or Welfare Agency
- Phoenix, AZ
- NPI 1083643738
TX
-
dba Arizona Eye Institute & Cosmetic Laser Center
- Ophthalmology Physician
- Sun City, AZ
- NPI 1801902762
-
dba Ak-Chin Clinic
- Public Health or Welfare Agency
- Maricopa, AZ
- NPI 1538043443
-
dba Salt River Facility
- Public Health or Welfare Agency
- Scottsdale, AZ
- NPI 1093739740
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Whiteriver Indian Hospital
- General Acute Care Hospital
- Whiteriver, AZ
- NPI 1427335140
-
dba Tuba City Indian Medical Center
- General Acute Care Hospital
- Tuba City, AZ
- NPI 1548294424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1992936298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 201764",
"city": "DALLAS",
"state": "TX",
"postal_code": "753201764",
"telephone_number": "636-200-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 W SOUTHERN AVE STE 122",
"city": "MESA",
"state": "AZ",
"postal_code": "852104903",
"telephone_number": "480-835-4440",
"fax_number": "480-835-8882"
}
],
"practiceLocations": [
{
"address_1": "2450 E Guadalupe Rd Ste 107",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852345116",
"country_code": "US",
"telephone_number": "480-507-0600",
"fax_number": "480-558-7162",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8404 E Shea Blvd Ste 105",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852606658",
"country_code": "US",
"telephone_number": "480-483-0711",
"fax_number": "480-483-8535",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19052 N R H Johnson Blvd",
"address_purpose": "LOCATION",
"city": "Sun City West",
"state": "AZ",
"postal_code": "853754401",
"country_code": "US",
"telephone_number": "623-232-0560",
"fax_number": "623-977-6911",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10701 W Bell Rd",
"address_purpose": "LOCATION",
"city": "Sun City",
"state": "AZ",
"postal_code": "853511074",
"country_code": "US",
"telephone_number": "623-888-8191",
"fax_number": "623-977-6911",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 W Savage St",
"address_purpose": "LOCATION",
"city": "Wickenburg",
"state": "AZ",
"postal_code": "853904235",
"country_code": "US",
"telephone_number": "928-415-2188",
"fax_number": "928-684-0387",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2222 E Camelback Rd Ste 250",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850163427",
"country_code": "US",
"telephone_number": "602-840-3501",
"fax_number": "602-840-3671",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "KIMBERLY",
"middle_name": "LAURA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-04",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "1971",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "2741",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.